IndividualActive
Bethany Corey, PA
NPI 1376591008 · Surgical Physician Assistant · Columbia, MO
Provider details
- NPI number
- 1376591008
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 780 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 882-1647
Fax: (573) 884-5184
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7687
Columbia, MO 65205-7687
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2009-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.